Bolton D M, Costello A J
Department of Urology, St. Vincent's Hospital, Fitzroy, Victoria, Australia.
Lasers Surg Med. 1994;14(1):88-9. doi: 10.1002/lsm.1900140117.
Hormonal manipulation remains the main method of treatment in metastatic carcinoma of the prostate. Traditional techniques of surgical castration may result in complications due to bleeding within the scrotum. Because of its cutting and hemostatic properties, superior to that seen with traditional scalpel incisions in vessels < 1.5 mm diameter, the carbon dioxide laser has been used in performing subcapsular orchidectomy in an attempt to reduce such complications. Postoperative hormonal assays have demonstrated a response identical to orchidectomy, and no treatment complications were encountered in our series. Subcapsular orchidectomy using the carbon dioxide laser may offer an advantage over traditional methods of surgical castration by reducing the frequency of postoperative hematoma.
激素调控仍然是前列腺转移性癌的主要治疗方法。传统的手术去势技术可能因阴囊内出血而导致并发症。二氧化碳激光具有切割和止血特性，对于直径小于1.5毫米的血管，其止血效果优于传统手术刀切口，因此已被用于进行包膜下睾丸切除术，以试图减少此类并发症。术后激素检测显示其反应与睾丸切除术相同，并且在我们的系列研究中未遇到治疗并发症。使用二氧化碳激光进行包膜下睾丸切除术可能比传统的手术去势方法具有优势，可减少术后血肿的发生率。
